Applicaiton-Bulk – Rapid Networks

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APPLICATION

Step 1 of 3

33%

Personal Information

Name(Required)

Prefix First Last

Company Name (If applying for a business)

ID Number(Required)

Mobile Number(Required)

Landline Number

Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 Town Postal Code

Wireless Password (8 characters minimum)

If you would to use a custom password for your wireless network, please specify.

Who referred you?

If you were referred, please insert referrers name and surname.

VAT Number (If business is VAT registered)

Is your property Owned or Rented(Required)

Owned

Rented

If Rented, Please ensure you have received permission from your landlord for Installation.

Quotation Number(Required)

Please fill in the quotation number supplied by our Admin Department.

Billing Information

Debit order is the only method of payment we accept.(Required)

Debit Order

Bank Debit Order Instruction

Banking Information

Dear Sirs/Madams
The details of my/our account are as follows:

Bank(Required)

Name of Account Holder(Required)

Account Number(Required)

Account Type(Required)

Cheque / Current

Savings

Transmission

This signed Authority and Mandate refers to our contract as dated as on signature hereof ("the Agreement"). I / We hereby authorise you to issue and deliver payment instructions to the bank for collection against my / our abovementioned account at my / our above mentioned bank (or any other bank or branch to which I / We may transfer my / our account) on condition that the sum of such payment instructions will never exceed my / our obligations as agreed to in the Agreement, and commencing on the commencement date and continuing until this Authority and Mandate is terminated by me / us by giving you notice in writing of no less than 20 ordinary working days, and sent by prepaid registered post or delivered to your address indicated above.
The individual payment instructions so authorised to be issued must be issued and delivered as follows

Please select the day of the month you wish to be debited.(Required)

1st

2nd

7th

15th

16th

26th

28th

DEBIT ORDER COMMENCEMENT
On the above selected day of each and every month. In the event that the payment day falls on a Saturday, Sunday or recognized South African public holiday, the payment day will automatically be the very next ordinary business day.
I / We understand that the withdrawals hereby authorized will be processed through a computerized system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. Each transaction will contain a number, which must be included in the said payment instruction and if provided to you should enable you to identify the Agreement. A payment reference is added to this form before the issuing of any payment instruction. I / We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.

MANDATE
I / We acknowledge that all payment instructions issued by you shall be treated by my/our above mentioned bank as if the instructions had been issued by me/us personally.
CANCELLATION
I / We agree that although this Authority and Mandate may be cancelled by me / us, such cancellation will not cancel the Agreement. I / We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.
ASSIGNMENT
I / We acknowledge that this Authority may be ceded to or assigned to a third party if the agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.

I Permit Rapid Networks to debit my account as outlined in this agreement.(Required)

I Agree

Leave a comment or specific instruction:

I AGREE TO THE FOLLOWING (Please check each block)

Broadband Services are not guaranteed and are supplied on a best effort basis(Required)

I Agree

CPE (Customer Premises Equipment) remains the property of the client ONLY if it was Purchased. Equipment does have a 1 year limited warranty, after that client will be responsible for maintenance on equipment.(Required)

I Agree

If Installation is purchased, 100% installation fee to be paid on day of installation.(Required)

I Agree

All services are prepaid and services are billed in advance.(Required)

I Agree

All service fees paid by Debit Order due by the selected date above.(Required)

I Agree

Should a debit order be returned, a returned debit order fee (R60) will be charged & services will be suspended.(Required)

I Agree

After fair usage limit has been reached, connection speed will be reduced to the throttling policy of the package and 8:1 contention ratio for the remainder of the month after which it will be restored to full speed for the new month. Upgrading the package will restore service to full speed.(Required)

I Agree

Cancellations may be done in writing by way of an email sent to accounts@rapidnetworks.co.za. A calendar months’ notice will apply.(Required)

I Agree

Downgrades or Upgrades may be done in writing by way of an email sent to accounts@rapidnetworks.co.za.(Required)

I Agree

Moving of equipment to a new premises can be done at a cost of R600. Arrangements can be made by emailing accounts@rapidnetworks.co.za and require a minimum of 2 weeks notice.(Required)

I Agree

If rental equipment is stolen, Rapid Networks will not be responsible for replacing equipment. The client will have to pay an installation fee of R1500 to get reconnected.(Required)

First Choice

If paying by Debit Order, the first debit order will take place on whichever day you selected and the following month.(Required)

I Agree

Subscribe to our Newsletter?

I Agree

Purchased Installation Equipment:(Required)

Tabulation example

Rapid Networks (Pty) Ltd t/a Rapid Networks warrants it’s Client that the goods which have been supplied by it and delivered to the client shall be free from defects and subject to the following:

⦁ The warranty is effective for a period of a year. The date is determined from date of delivery and will the Client be entitled to either request a refund; replacement or repair of the goods if the goods being provided are believed to be of a substandard quality within such period;

⦁ The warranty shall immediately be rendered null and void in the event of any of the following:

⦁ Any alterations or modifications or addition made to the goods, without the prior consent of Rapid Networks (Pty Ltd t/a Rapid Networks;

⦁ Failure to use goods supplied in accordance with the instructions and specifications of Rapid Networks (Pty) LTD t/a Rapid Networks;

⦁ Damages due to the general mistreatment and abuse of the goods supplied;

⦁ Any damage caused by fire, flood, civil disturbance or act of God;

⦁ The goods have not been inspected by and technical expert in order to evaluate / determine the reason for the defects in the material, before the Client requested its replacement, repair or refund.

Whilst delivery times are given in good faith and Rapid Networks (Pty) Ltd t/a Rapid Networks will use every endeavour to comply therewith, no responsibility can be accepted for any loss or damage incurred by the Client on account of any delay in delivery arising out of any circumstances beyond Rapid Networks (Pty) Ltd t/a Rapid Networks’s control, which circumstances will include, but in no way be limited to:

⦁ Any delays in the supply of goods/services by rapid Networks (Pty) Ltd t/a Rapid Networks which cannot be directly or indirectly attributed to them;

⦁ The client not providing Rapid Networks (Pty) Ltd t/a rapid Networks with necessary information in order to determine the specifications of the goods required.

⦁ The client or his/her/its employees not providing Rapid Networks (Pty) Ltd t/a rapid Networks with the adequate information, necessary in order to ensure that the goods meets its specific requirements. The Company reserve the right to amend the initial quotation, should the Client’s original requirements change or upon inspection by us;

⦁ If the balance of the contract price payable on date of reservation is not paid on date of anticipated delivery to rapid Networks (Pty) Ltd t/a Rapid Networks.

Rapid Networks (Pty) Ltd t/a Rapid Networks will communicate unavoidable delay in the delivery.

I Agree

Outstanding Invoices:(Required)

Tabulation example

Rapid Networks (Pty) Ltd t/a Rapid Networks reserved their right to suspend delivery of any services in the event that payment for such services is not made on time. In the circumstances where payment is outstanding for a period exceeding 14 days from date of invoice due date Rapid Networks (Pty) Ltd t/a Rapid Networks will collect any rental equipment and terminate the service.

All accounts older than 30 days will be handed over for collection and will the Client be liable to pay all legal fees with regard to the collection of such outstanding amounts on a fees scale as determined by the court of law/tribunal where the collection matter will be adjudicated.

The Client hereby agrees to the jurisdiction of the Magistrate Court of Vredenburg in the event that any outstanding amount is handed over for collection, although such Magistrate Court may normally not have jurisdiction in the matter.

I Agree

NOTIFICATION TO THE DATA SUBJECT WHEN SUPPLYING PERSONAL INFORMATION
The data subject (client/consumer) must note that all the information supplied to the responsible party (Rapid Networks (Pty) Ltd t/a Rapid Networks; Windstone Farm, Vredenburg) will be recorded and processed regardless of form or medium in which the information was supplied.
Personal information is collected to enable Rapid Networks (Pty) Ltd t/a Rapid Networks to deliver a service to its clients/customers and for billing purposes (where applicable).
The personal information supplied is mandatory and if applicable is authorized or required by the Protection of Personal Information Act. The data subject has the right at any time to rectify the personal information collected, object to the processing of personal information (subject to legislation) and to lodge a complaint at the Information Regulator.